Brian S. Biesman, MD

From the first consultation with Dr. Biesman my apprehension about facial surgery diminished. His expertise was immediately evident and his responses to my concerns were thoughtful and realistic. I followed his recommendation to include a brow lift with the eye lift surgery and the result was even better than I had hoped. The entire process with Molly and every single member of the office staff was positive and enjoyable. What a great staff!! I'm thrilled with the outcome and highly recommend Dr. Biesman. Thank you Thank you Thank you

After a few years of seeing pictures of myself (64/M) with baggy eyelids and dark circles (hereditary) under my eyes, I began the process of searching out “The Best”.
A family member recommended Dr. Biesman. Living in Michigan I was somewhat reluctant to travel to Nashville for a consultation, but after reading his reviews and viewing some before and after pictures I decided to schedule a consultation.
From my first consultation through the final visit, Dr. Biesman and his incredible staff made the procedure above and beyond my expectations.
I also need to give kudos the the folks Dr. Biesman uses to perform the surgical procedures. As someone with acute “white coat syndrome”, they all made me feel comfortable and relaxed. The entire procedure couldn’t have gone me smoothly.
And the results! Oh my!!! I absolutely could not be happier with the results.
If you are considering upper and lower blepharoplasty, you need to give Dr. Biesman and his staff a call. As I told him on my last visit, his office is truly a time machine. He took 20 years off my my face!

Great Consultation. Wonderful staff as well. Hailey was an angel sent from above! Everyone here goes above and beyond. A wonderful team who cares very much about helping the client feel not only understood but like there is a possibility of solving what is bothering them.

Drove from Michigan to receive Subcision and Fraxel Laser surgery. Dr.Biesman did a great job on the subcision portion of my procedure! Tammy was very thorough during the Fraxel. She made sure to target the areas I didn't like the most. Molly was also great! I can't wait to see you guys again.

Drove from Maryville Tn to see him and I was not disappointed!! I have acne scars and like everyone I want them gone!! Well as I was waiting for him I looked on the wall and did you know he has an “official day” named after him in I think it was Louisiana!?!? 

I was impressed. Anyway, Dr. Biesman came in and he was very humble and honest. He looked at my skin and told me his professional opinion for what I would need. Subcision and Fractional Laser and I met his partner in crime Mollie (forgive me if I didn’t spell your name right) and she was amazing! Very sweet and Docs right-hand woman. 

I am a medical assistant so the doc and I swapped some stories and he told me his plan for me and was very honest. He didn’t promise me results that were out of reach but told me that previous patients were between 30%-80% happy with their results.

Long story short Dr. Biesman and his team were awesome!! And I will be scheduling my procedure very soon and can’t wait to post pics!!! If you live near him and need any procedure done trust me he is amazing and you will not be disappointed. Thank you Dr. Biesman you and your staff are amazing!!! See you soon!!

My experience was wonderful! Dr Biesman is super nice and professional! I did a research study here and I had amazing results. I felt safe, well informed, and I never waited. Amanda is my favorite but, the whole team is great! Thank you!

I cannot express enough how incredibly grateful I am to have been referred to this amazing doctor and his incredible team! Dr. Biesman and his staff have such an excellent way of making you feel comfortable and relaxed. You feel like you are in the BEST hands you could possibly be in! They are thorough, and they are honest! Two things that are so incredibly hard to come by in my experiences! Dr. Biesman and his team are truly exceptional. I will NEVER go to another doctor for as long as he is in business. If you’re in the Nashville area, LOOK HIM UP!

Dr. Beisman has been my doctor for years and is the only one I trust to produce natural looking results with my face. His expertise is amazing and very reassuring. I moved to Washington State and still return to Nashville to see Dr. Beisman because of the positive results I have gotten. I highly recommend him to anyone!

I had lip injections done previously with a different plastic surgeon which resulted in a large lump above my lip. Original plastic surgeon was of no help...I decided to go to Dr. Biesman to discuss fixing it- I explained how I was extremely nervous to have Hyaluronidase because of the horror stories on here. He and his team assured me there was nothing to worry about. I contemplated for a good hour and a half while his team was VERY patient with me...Well, I took the plunge and had it dissolved...and the outcome was perfect! Words cannot express how grateful I am for dr. Biesman and his team. Wonderful experience all around- Dr. Biesman is extremely talented, knowledgeable, and the best of the best ...truly an artist! I will only go to him in the future as I trust his judgement and ability completely.

I have been called “sleepy eyes” since I was a child (I am 43 now). I have spent lots of time every day piling on the layers of concealer and color corrector since I was a teen in an attempt to cover my dark under-eye circles, which remain visible anyway. I have used countless eye creams without major benefit. I never, and I mean never, leave the house without makeup; in fact I wear makeup 7 days a week—and this is mostly because of my dark circles.
Finally in June 2017 I consulted an oculoplastic surgeon, who recommended that I would benefit from both fillers and a lower blepharoplasty for my tear trough deformity. He also noted my ptosis, though I had really just consulted him for the dark circles. He gave me an eye drop which temporarily opened my droopy eyes and I was surprised not only how much better I looked, but even how much more alert, energetic, and relaxed I felt. At the time, though, I wasn’t ready for surgery and opted instead to have Juvederm injected into my tear trough as well as cheekbones to treat the dark circles. It certainly helped, though by no means eliminated my circles.
Fast-forward to April 2018. By this time, I was really noticing my ptosis (droopy eyelids). In order to keep my eyes open, I subconsciously “force” them open by straining—you can see that my forehead Is permanently wrinkled and my eyebrows lifted, especially on the right where I guess the ptosis is worse. It’s second nature, and I do it pretty much 100% of the time while I’m awake. It was starting to cause headaches from all of the muscle tension. I went back to see my oculoplastic surgeon and he had me tested for medical necessity on the ptosis. It was bad enough that my insurance actually is covering the ptosis surgery.
I scheduled surgery for bilateral ptosis repair and bilateral blepharoplasty with Dr. Brian Beisman for this Friday 9/28/18. I am nervous, and dreading the recovery but can’t imagine what it will be like not to look tired and strain my face all of the time!

Updated on 24 Sep 2018:


Updated on 29 Sep 2018:
Woke up at 4:55 am to get to the surgery center by 6 am. I am nervous. The prop nurse gave me meclizine for dizziness, zofran for nausea, decadron (a steroid), and versed to sedate me. My surgeon came to see me and mark my face for surgery. He joked with my mom that he had seen the surgery on You Tube and stayed at a Holiday Inn Express so “I should be good!” My anesthesia was “twilight” and I was given propofol. The nurse and anesthetist came to wheel me to the operating room but that is the last thing I remember...

I woke up in recovery with a lot of eye pain. They gave me some fentanyl, which they’d already given me introperatively. I became very nauseated and they gave me an essential oil diffuse at first but eventually more zofran. The nausea lasted really for the rest of the day. The surgery took around 2 hours for both the bilateral ptosis repairs and bilateral lower blepharplasties.

My parents took me home and stayed with me until my husband got home from work. I went to bed on a wedge pillow and neck pillow. My mom helped me change out my ice and dressings. My postop regimen consists of ice water-soaked gauze placed over my eyes, followed by ice packs and lots of rest. I change the ice packs for cold ones as often as I can. I have eye drops 3x a day and am using Tylenol and tramadol for pain 3x a day. I am still using arnica for bruise and Bromelain for swelling which I was using prior to surgery. I am supposed to put Vaseline on the stitches to moisten them.

I didn’t take a look at my eyes until nighttime, because honestly I just felt too bad! Wow, I am bruised! I have a lot of swelling and stitches so I can’t get any idea yet of my final results. I put on some special bruise cream I bought on Amazon and then it is time to try sleeping elevated on my back when I am a hard-core flat stomach sleeper...

Updated on 29 Sep 2018:
I took a picture the first night after surgery but can’t upload it. This picture I took tonight. My bruising is notably better. My bruise cream may jut be miraculous! It is called heladerm pro bruise cream and I found it on Amazon. I cannot completely close my eyelids, so I am using artificial tears. I am excited to see that my eyes already look more open with no straining from me and my eyebrows aren’t raising up like they were. By the way, writing this review is a little tough because my eyes are so blurry, presumably from.all of the drainage, etc. Today I felt a little better but still rested and napped most of the day with my dressings and ice packs.

Updated on 30 Sep 2018:
I am aching from lying around. My eyes feel so sore and irritated and dry. I am still light-sensitive and having blurry vision. Thankful for my husband’s help. My 10 year old cane home from a camping trip and saw me for the first time today and got a sad look and said “It looks like you got beat up!”

Updated on 2 Oct 2018:
My bruising is mostly in the yellow stage except for some bright red below my sutures in the lower lid. My eyes continue to be sore, irritated and red. I use artificial tears constantly and last night put a bedtime eye ointment in my eyes. This felt somewhat soothing, but I still woke up with red eyes. When I woke up, the whites of my eyes are quite red. Usually this improves as the day progresses until it is mostly red in the outer corners. When I thought about postop recovery, I mostly imagined bruising and swelling but didn’t realize my eyes themselves would hurt so much. I still don’t feel up to leaving the house or driving.

Updated on 3 Oct 2018:
I really tried to pamper my eyes today since they’ve been so irritated. I used a decent amount of nighttime ointment in my eyes last night which helped this morning. I got some preservative-free moisture drops and used them hourly and continued to ice for several sessions, rest my eyes, avoid too much light, etc. It all helped some, but by this evening, they are tired, dry, irritated, sore, and still a little red. Recovery continues...

Updated on 14 Jun 2019:
9 month out, and I am definitely glad I had the ptosis repair and lower blepharoplasty. I feel that I look more alert and refreshed, don’t strain to keep my eyes open, and feel more youthful. I still wear undereye concealer, but would go without makeup if I had to now. I’ve had some Botox injected to help with my compensatory eyebrow raising which does help, though my right eyebrow still tends to elevate a bit when I smile. I am satisfied with the results, and after the first 2 weeks, pretty well-recovered.